Individual provider Active NPI

Hala R Samuel, B.S., B.CH.

  • Pediatrics Physician
  • Paterson, NJ
National Provider Identifier
1801972989
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA67340 Issued in NJ
Practice address
32 Hine St
Suite 209
Paterson, NJ 07503-2955
Phone
(973) 345-2420
Fax
(973) 345-3786
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MA67340 NJ Primary

Addresses

Primary practice location

32 Hine St
Suite 209
Paterson, NJ 07503-2955

Mailing address

32 Hine St
Suite 209
Paterson, NJ 07503-2955
Phone (973) 345-2420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA67340NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Pediatric Group, P.C. Past Accepting new patients
Watchung Pediatrics Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hsamuel@watchung.pcc-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801972989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 HINE ST",
            "address_2": "SUITE 209",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032955",
            "telephone_number": "973-345-2420",
            "fax_number": "973-345-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 HINE ST",
            "address_2": "SUITE 209",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032955",
            "telephone_number": "973-345-2420",
            "fax_number": "973-345-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "HALA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "B.S., B.CH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA67340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.